OSCE Emergency Response Procedures 3

Question 1

A patient presents with altered mental status, hypotension (BP 80/50), and a heart rate of 140 bpm after a suspected GI bleed. Which resuscitation product should be administered FIRST?

Accepted Answer

Crystalloid IV fluid bolus (normal saline or lactated Ringer's)

Answer

Initial resuscitation begins with isotonic crystalloid to restore perfusion while blood products are being prepared and cross-matched.

Question 2

You respond to a patient with suspected opioid overdose who is apneic but has a faint pulse. After calling for help, the NEXT priority is:

Accepted Answer

Provide rescue breathing with a bag-valve mask

Answer

The patient has a pulse but is apneic, so rescue breathing (BVM ventilation) to correct hypoxia takes priority over naloxone administration.

Question 3

In the JUMP-START pediatric triage system (used in MCIs), a child is apneic but begins breathing after repositioning the airway. This patient should be tagged:

Accepted Answer

Red (Immediate)

Answer

In JumpSTART, a child who is apneic but breathes after airway repositioning is tagged Red because they require immediate airway intervention to survive.

Question 4

A patient develops ventricular fibrillation (VF) during a monitored cardiac procedure. The FIRST action after confirming no pulse is:

Accepted Answer

Defibrillate immediately with the highest energy setting available

Answer

Witnessed VF in a monitored setting warrants immediate defibrillation; survival rates are highest when defibrillation occurs within seconds.

Question 5

A nurse finds a patient on the floor, unresponsive. After confirming unresponsiveness and calling for help, the nurse should next:

Accepted Answer

Check for normal breathing and a carotid pulse simultaneously for no more than 10 seconds

Answer

AHA BLS guidelines direct providers to simultaneously check for breathing and pulse for up to 10 seconds before initiating CPR.

OSCE Practice Test

OSCE Practice Test

OSCE Emergency Response Procedures 3